Laserfiche WebLink
01/.25/2002 •10:09 20946834 FIFTH FLOOR . PAGE 03 <br />RETROFIT OR REPAIR <br />1. Site map enclosed YES NO [] <br />2. Spec sheets attached for equipment to be installed YES NO[] <br />3. Description of work to be completed: <br />Zv'cu S 0i-X1StW5r-1 b 00LV24CILi Cv�T�F�r�n�trT; S'AL�- �tiv <br />4. Description of equipment to be used: <br />�- 1-0 L Qv k Pm ems' CiT 640151--Z') <br />5. All equipment is State certified or approved. YESX NO [ ] <br />6. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? N)%4 YES [I NO [ ] <br />b. Identify contractor performing decontamination= A.)10 <br />Name Phone) <br />Address City Zip <br />C. Describe method to be used for decontamination: t4,4 <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: 0114 <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: OA <br />Hauler Name Phone( <br />2 <br />JAN 25 '02 9:10 2094683433 PAGE.003 <br />